Garfield, S; Barber, N; Walley, P; Willson, A; Eliasson, L; (2009) Quality of medication use in primary care--mapping the problem, working to a solution: a systematic review of the literature. BMC Med , 7 , Article 50. 10.1186/1741-7015-7-50.

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Abstract

The UK, USA and the World Health Organization have identified improved patient safety in healthcare as a priority. Medication error has been identified as one of the most frequent forms of medical error and is associated with significant medical harm. Errors are the result of the systems that produce them. In industrial settings, a range of systematic techniques have been designed to reduce error and waste. The first stage of these processes is to map out the whole system and its reliability at each stage. However, to date, studies of medication error and solutions have concentrated on individual parts of the whole system. In this paper we wished to conduct a systematic review of the literature, in order to map out the medication system with its associated errors and failures in quality, to assess the strength of the evidence and to use approaches from quality management to identify ways in which the system could be made safer.

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